Individual
DR. LARNIE JAMAL BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Mailing address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA06967700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132187
—
NJ
01
—
222130958
TAX ID
NJ
Enumeration date
10/13/2006
Last updated
02/27/2009
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